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SJLHD — UND' 'ROUND TANK CLOSURE/A1LAND•,,,,,,���N'L' INSL'L l'lUN �f 3 <br /> (SHADED ARb . TO DE FILLED IN FOR THE I•'IRST TANK ONLY) <br /> G OWNER NAM' OWNER PHONE # <br /> Eyd ,LGAv� , h gr7G : <br /> E J° CONTRACTOR L�t9 �/� CON. PHONE# ' ��tt <br /> 7-0 <br /> R SJLHD PERMIT # ussEc <br /> EPI► # FIRE PERMIT # -TRS XGI VA <br /> L � T : <br /> INSPEC OR DATE TANK # 39 <br /> R RINSED (Y/N) METHOD <br /> I RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # —OR— OTHER <br /> VVAPORS PURGED Y/N) METHOD <br /> A VIS r AMOUNT USED <br /> P L.E.L. READING AT REMOVAL (MUST BE < 203) V <br /> O <br /> T R COMMENTS <br /> A <br /> N <br /> K C TANK MATERIAL (STEEL FIBERGLASS, OTHER) TANK SIZE I <br /> / O TANK CON DITION (G00� <br /> P N , POOR, HOLES) <br /> I I S PIPE MATERIAL STEEL, FIBERGLAS R) k FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> I N s /C L�� 2t • Cti� _ act_ <br /> E K <br /> L <br /> D EXCAVATION SIZE: 2 S X X <br /> g- __ YDS OF SOIL : <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE # <br /> S P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X 'l/� X <br /> I ,"r YDS OF SOIL <br /> 0 H DEPTH TO C.W. : =; �FT4_ SAMPLING METHOD <br /> N 2 <br /> 0 / OF HOURS SINCE DEWATERING: <br /> 7 OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> )?)) 2,J 04.1(7/88) DRAW SITE HAP ON REVERSE <br />